Shaw, Michael

Shaw, Michael is an individual health care provider with primary practice located at 12550 New Brittany Blvd , Fort Myers FL 33907-3655. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Shaw, Michael can be contacted via phone (239) 343-9180.

Contact Information

Primary practice address
12550 New Brittany Blvd Fort Myers FL 33907-3655
Phone: (239) 343-9180
Fax: (239) 343-9188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9220477 Florida

Profile Details

NPI number 1497765242
LBN Legal business name Shaw, Michael
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Dec 31st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497765242 NPPES
Florida MEDICAID 768068600

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